Healthcare Provider Details

I. General information

NPI: 1457274896
Provider Name (Legal Business Name): JENNIFER MARIE MATTHEWS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NEXUS COUNSELING, 6710 S U.S. HWY 85 87
FOUNTAIN CO
80817
US

IV. Provider business mailing address

7145 ALEGRE CIR APT 1
FOUNTAIN CO
80817-1241
US

V. Phone/Fax

Practice location:
  • Phone: 719-388-3558
  • Fax: 719-694-9525
Mailing address:
  • Phone: 808-294-7748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: